NPI 1508650060
Community Living of Idaho LLC
Practice location
- Address
- 3424 Starlight Ave, Caldwell, ID 83605-6647
- Phone
- (208) 906-4249
Authorised official
- Name
- Paul Daniel Fauth
- Title
- Owner
- Phone
- (208) 906-4249
Registered specialties
In Home Supportive Care Agency
Primary
Registry record
- NPI
- 1508650060
- Entity type
- Organization
- NPI issued
- 8 Apr 2025
- Record last updated
- 8 Apr 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.